安氏 I 类
,
Open bite
,
牙弓狭窄
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
牙列拥挤

伸长
,
压低
,
扩弓
,
唇倾
,
邻面去釉
Courtesy of Dr. M. Pedernera, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: female
  • Invisalign Submission Option: Lite

Total Treatment Time

  • 9 个月

矫治器数量

  • Maxillary: 14 + 12 = 26
  • Mandibulary: 14 + 12 = 26

Aligner Wear time

  • 2 周

保留

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • Normal overjet and overbite achieved
  • 中线对齐
  •  Spee 曲线平整
  • 已对齐并协调牙弓
  • 已改善牙弓形状
  • Aesthetic smile linewas achieved
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

进展

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upper
lower
right
front
left
初始状态治疗后
Before picture of treatment
After picture of treatment
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X光片

初始状态 治疗后
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